Individual
ALGIMANTAS BALCIUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER, PLACERVILLE, CA 95667
(530) 622-1441
Mailing address
PO BOX 707, BILLING OFFICE, PLACERVILLE RADIOLOGY MEDICAL GROUP, PLACERVILLE, CA 95667-0707
(530) 626-1166
(530) 626-3826
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G10603
CA
2085N0700X
Neuroradiology Physician
G10603
CA
2085N0904X
Nuclear Radiology Physician
G10603
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G10603
CA
2085R0203X
Therapeutic Radiology Physician
G10603
CA
2085R0204X
Vascular & Interventional Radiology Physician
G10603
CA
2085R0205X
Radiological Physics Physician
G10603
CA
2085U0001X
Diagnostic Ultrasound Physician
G10603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300040793
RAILROAD MEDICARE
—
05
—
GR0053460
—
CA
Enumeration date
01/23/2006
Last updated
09/19/2013
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